Ophiasis Alopecia Areata Treated with Microneedling

The article discusses a case of a 58-year-old man with ophiasis alopecia areata, a subtype of AA that presents as a band-like hair loss pattern on the occipital, temporal, and parietal regions of the scalp. The patient was treated with clobetasol 0.05% solution and four treatments of microneedling with triamcinolone over 6 months, resulting in gradual improvement, most notably on his left occipital scalp where his hair loss was most prominent, with near complete hair regrowth on his left occipital scalp. Microneedling with triamcinolone can be considered as a promising treatment in cases of ophiasis AA.